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  • Title: [Retrograde cystography after a first episode of acute pyelonephritis in the child and adolescent].
    Author: David C, Dacher JN, Monroc M, Eurin D, Le Dosseur P.
    Journal: J Radiol; 1998 Feb; 79(2):133-7. PubMed ID: 9757230.
    Abstract:
    In spite of its invasiveness, voiding cystourethrography remains the gold-standard examination for detecting vesico-ureteric reflux. The aim of this study was to determine if voiding cysto-urethrography is useful at any pediatric age in girls after a first acute pyelonephritis. 152 patients have been retrospectively studied. Both reflux frequency and grade progressively decreased according to age. Sonography was unable to predict reflux. In more than 3-year-old girls, 8/30 children with reflux had voiding dysfunction. We suggest clinical and/or a flow-metric evaluation for voiding dysfunction prior to voiding cystourethrography. After 9 years, reflux was so rare that voiding cystourethrography should be discussed on an individual basis.
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